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SKAOAQUIN Environmental Health Department <br /> �COUNTY <br /> Service Request Inspection Report <br /> Name of Facility: TRACY SHELL Date: 07/22/2025 <br /> Address: 3725 Tracy Blvd. BLVD , TRACY 95304 <br /> Requestor: Jacob Weaver Telephone: (509)991-6774 <br /> Program Element: 2308- UST RETROFIT Request#: SR2501033 <br /> Inspection Type: 4320- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jacob Weaver ICC Service Tech/Installer Exp. Date: 1/8/2027 <br /> Manufacturer training: Bravo, 05/16/28; Incon, 02/25/27; NOV, 07/11/28 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed integrity testing of all UDCs and 87 sumps.All passed. <br /> Witnessed secondary containment testing of product piping.All passed. <br /> Discussed with technician,triennial secondary containment test on whole UST system will be conducted today.Witnessed testing required by <br /> permit, did not stay for end of whole testing.. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: April Pruitt, Manager <br /> EH Specialist: MONICA DE ANDA Phone: (209)616-3063 <br /> FA0003780 SR2501033 SC4320 05/21/2025 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />